Rehabilitation pharmacotherapy: A scoping review

Geriatrics & Gerontology International
Eiji Kose, Hidetaka Wakabayashi

Abstract

Many patients in rehabilitation facilities are affected by polypharmacy. Polypharmacy is associated with rehabilitation outcomes and functional recovery. Consequently, a combination of rehabilitation and pharmacotherapy may improve the outcomes of older people undergoing rehabilitation. A recent report described the concept of rehabilitation pharmacotherapy. The concept envisages helping frail older people and people with disabilities to achieve the highest possible body function, activity level and quality of life. There are two key tenets of rehabilitation pharmacotherapy: "pharmacotherapy in consideration of rehabilitation" and "rehabilitation in consideration of pharmacotherapy." "Pharmacotherapy in consideration of rehabilitation" includes use of drugs to treat impairment, activity limitation and participation restriction based on the International Classification of Functioning, Disability, and Health. "Rehabilitation in consideration of pharmacotherapy" refers to tailoring of rehabilitation considering the content of pharmacotherapy. With respect to drugs and motor dysfunction, anticholinergic drugs are associated with dysphagia and fractures. Increased use of potentially inappropriate medications may adversely affect the...Continue Reading

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Jan 17, 2021·Nutrition·Saori NakaharaKeisuke Maeda
Mar 26, 2021·Expert Review of Clinical Pharmacology·Dai PuKaren M K Chan
Mar 14, 2021·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Shinta NishiokaRyo Momosaki

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